Cárie dentária em crianças e adolescentes com Diabetes tipo 1
uma revisão sistemática e meta-análise
DOI:
https://doi.org/10.35699/2178-1990.2021.27061Palavras-chave:
Cárie dentária, Diabetes mellitus, Criança, Adolescente, Revisão, Metanálise como assuntoResumo
Objetivo: O objetivo dessa revisão sistemática e meta-análise foi avaliar estudos que fizeram uma comparação da ocorrência de cárie dentária entre crianças/adolescentes com Diabetes tipo 1 (DM1) e crianças/adolescentes sem essa condição.
Métodos: Buscas computadorizadas no Web of Science, Scopus, Lilacs, PubMed, OpenGrey e Google Scholar foram realizadas até dezembro de 2020. A seleção dos estudos foi feita por dois autores independentemente. Referências que preenchiam os critérios de elegibilidade foram incluídas. O risco de viés foi avaliado com a escala Newcastle Ottawa. Meta-análises foram conduzidas. Diferença média (DM) e intervalos de confiança (IC) foram fornecidos.
Resultados: Durante as buscas nas bases de dados, 751 referências foram recuperadas. Após remoção de 102 duplicatas, 649 referências foram avaliadas e 16 estudos foram incluídos nessa revisão sistemática e meta-análise. Os estudos incluídos tiveram resultados discrepantes. Duas meta-análises demonstraram que não houve diferença significativa na média de dentes permanentes com cárie entre crianças/adolescentes com DM1 e crianças/adolescentes sem DM1 (DM = 0,07; IC = -0,68 – 0,82) e que não houve diferença significativa na média de superfícies de dentes permanentes com cárie entre crianças/adolescentes com DM1 e crianças/adolescentes sem DM1 (DM = 0,20; IC = -2,22 – 2,61). Uma terceira meta-análise revelou que crianças/adolescentes sem DM1 apresentavam uma média de dentes decíduos com cárie significativamente maior do que crianças/adolescentes com DM1 (DM = 0,34; IC = 0,31 – 0,37). O maior problema de risco de viés dos estudos foi para a definição dos controles e comparação de casos e controles.
Conclusão: A ocorrência de cárie parece ser menor entre crianças/adolescentes com DM1 em comparação a crianças/adolescentes sem DM1.
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